Edward A Kulich, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

254048 Issued in NY

Practice address

200 Corbin PL
#4S
Brooklyn, NY 11235-4946

Phone

(917) 617-2194

Fax

(718) 332-6459

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coney Island Medical Practice Plan, P.C.

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1386951762
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1386769065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORBIN PL",
            "address_2": "#4S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354946",
            "telephone_number": "917-617-2194",
            "fax_number": "718-332-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORBIN PL",
            "address_2": "#4S",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354946",
            "telephone_number": "917-617-2194",
            "fax_number": "718-332-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICH",
        "first_name": "EDWARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "FL",
            "license": "ME97669",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "254048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golda Kulberg
• Roman Kulberg, OPTICIAN
• Viktoriy Kulchinskaya, RPH
• Chana Kulefsky, PAC
• Angelina Kulezneva
• Hasan Kuliev, DDS
• Pavel Kulik, M.D.
• Anna Kulikowska, RDH
• Igor Kulishov
• Stanislav Kulishov, MD

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.